Sir,The recent publication on clinical diagnosis in Ayurveda is very interesting.[1] In fact, the application of the International Classification Disease (ICD) system for disease classification according to modern medicine is useful for clinical practice in alternative medicine. Nevertheless, it must be noted that the concept of holistic approach must remain the most important part of clinical Ayurveda. How to integrate the modern ICD concept to the classical Ayurveda is the issue for further discussion. In fact, the similar issue can be seen in Chinese traditional medicine, which is another important alternative medicine system. Setting up of a parallel system to ICD might be a good solution. In Chinese traditional medicine, the so-called “Chinese Classification of Disease” has been set and approved for clinical usefulness in clinical practice.[2] The similar setting of coding system for Ayurveda clinical practice should be internationally done and set. This should be another point that World Health Organization might support as previous issue in traditional Chinese Medicine.[3]